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Bundestag Passes Law Expanding Nursing Powers and Cutting Red Tape

Self-administration now sets the service lists for autonomous nursing tasks, including training rules.

Overview

  • CDU/CSU and SPD backed the measure, AfD voted against it, and Greens and Left abstained, with no Bundesrat approval required.
  • Qualified nurses will take on tasks such as wound care, blood draws and diabetes monitoring, in some cases without a prior physician diagnosis based on a nursing assessment.
  • Insurers, physician associations and nursing organizations must now define service catalogs, contractual frameworks and uniform continuing education for expanded practice.
  • The law streamlines documentation and applications, bolsters home care and communal care housing, extends children’s sick‑day provisions to 2026 and adds a €2 billion relief package for statutory insurers in 2026.
  • The reform responds to rising demand and staffing gaps, with 5.6–5.8 million people already needing care and a projected need for 150,000 additional nurses by 2040, while reactions range from nursing‑council support to AOK concerns over nonstandardized nursing diagnoses.